| Palmetto Surgical Consultants Association,inc. | |
|
1330 Gregg St Columbia SC 29201-3526 | |
| (803) 256-4304 | |
| Not Available |
| Full Name | Palmetto Surgical Consultants Association,inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1330 Gregg St, Columbia, South Carolina |
| Authorized Official Name and Position | Trace H Rutherford (C.E.O.) |
| Authorized Official Contact | 8032564304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Surgical Consultants Association,inc. 1330 Gregg St Columbia SC 29201-3526 Ph: (803) 256-4304 | Palmetto Surgical Consultants Association,inc. 1330 Gregg St Columbia SC 29201-3526 Ph: (803) 256-4304 |
| NPI Number | 1407101918 |
|---|---|
| Provider Enumeration Date | 07/20/2012 |
| Last Update Date | 07/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407101918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (South Carolina) | Primary |
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